Individual
KAITLYN LACAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 W GAINES ST, MONTICELLO, AR 71655-4675
(870) 367-6146
Mailing address
512 N SLEMONS ST, MONTICELLO, AR 71655-4333
(870) 224-6804
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1614718
AR
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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